Brewer, Justin Michael

Brewer, Justin Michael is an individual health care provider with primary practice located at 527 Medical Park Dr Ste 400 , Bridgeport WV 26330-9010. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Brewer, Justin Michael can be contacted via phone (681) 342-3500.

Contact Information

Primary practice address
527 Medical Park Dr Ste 400 Bridgeport WV 26330-9010
Phone: (681) 342-3500
Fax: (681) 342-3507
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110003033 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 01518 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 513 West Virginia

Profile Details

NPI number 1841427937
LBN Legal business name Brewer, Justin Michael
Credentials MMS, ATC, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2009
Last updated May 8th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841427937 NPPES
West Virginia Other PA37501 MEDICARE PTAN

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